| NPI | 1417512013 |
|---|---|
| Doing Business As | EVIDENTAL |
| Entity Type | Organization |
| Authorized Contact | EDNA GARCIA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |